Less is More? SIMPLE Study for Older Adults at Joslin

There is a study happening right now that’s investigating how to reduce the number of insulin injections and blood glucose checks older adults with diabetes take each day while still keeping blood glucose in good control. It is also attempting to learn if simplifying insulin regimens can reduce the frequency and severity of low blood sugars. Would you be interested in finding out more about this study?

Why might you want to talk with someone about this study? Maybe you are having a lot of low blood sugars and want to see if there is a way to reduce them. Maybe you don’t like taking multiple insulin injections a day and want to see if it is possible to get by with fewer. Perhaps you are happy with your current diabetes regimen but are interested in contributing to a growing body of information about how diabetes affects older adults.

One of the reasons the study is being done is because low blood glucose reactions are especially troublesome, downright dangerous, when you are older. Hypoglycemia (low blood glucose/sugar) predisposes older adults to falls, and possibly hip fracture which can be devastating. Twenty-five percent of older adults who break their hips are at risk for dying within one year. It is possible, but not guaranteed, that data collected in the study could be used to develop better treatment algorithms for the elderly.

If you have type 2 diabetes, are over 70 and take at least 2 injections of insulin a day, we want to talk with you. You could qualify for the SIMPLE (Simplified Insulin Management Protocol using Lantus® in Elderly) study. Under the direction of Medha Munshi, M.D., director of the Geriatric program at Joslin Diabetes Center and Alissa Segal, Pharm.D., C.D.E., this study aims to understand the effect of simplifying a patient’s diabetes treatment plan in older adults with diabetes. In addition to improving your own diabetes control, decreasing your reliance on insulin and helping your fellow compatriots with diabetes, you will receive monetary compensation for your time and your insulin will be paid for.

This eight-month study consists of four study and two laboratory visits with the physician and study coordinator. Instead of seeing your doctor once every three to six months, your case will be reviewed each week. Each of the participants in the SIMPLE study talks to the study educator every week to review blood glucose results, changes of medication and their concerns. These chats take no more than 15 minutes but are an invaluable tool to keep you on track with your diabetes care.

To hear more about the study and set up your screening visit please call Christine Slyne at 617-309-4683. This could be your chance to be in involved in finding the answer to the question if less is sometimes more. Pick up the phone today, find out if the SIMPLE Study is right for you.

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